Individual
REBECCA J GOTTHEIMER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
377 MDG, 2050A SECOND STREET SE, KIRTLAND AFB, NM 87117-5522
(505) 853-7857
Mailing address
377 MDG, 2050A SECOND STREET SE, KIRTLAND AFB, NM 87117-5522
(505) 853-7857
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
NMDH1175
NM
Other
Enumeration date
03/08/2006
Last updated
07/08/2007
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